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Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance - United States, New York City, and Los Angeles, May 5-12, 2020

. 2020 Jun 19;69(24):751-758. doi: 10.15585/mmwr.mm6924e1. Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance - United States, New York City, and Los Angeles, May 5-12, 2020 Michael A TynanMark E HowardSally HoneycuttErika B FulmerDaniel P KidderRebecca RobbinsLaura K BargerElise R Facer-ChildsGrant BaldwinShantha M W RajaratnamCharles A Czeisler

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Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance - United States, New York City, and Los Angeles, May 5-12, 2020

Mark É Czeisler et al. MMWR Morb Mortal Wkly Rep. 2020.

. 2020 Jun 19;69(24):751-758. doi: 10.15585/mmwr.mm6924e1. Authors Mark É CzeislerMichael A TynanMark E HowardSally HoneycuttErika B FulmerDaniel P KidderRebecca RobbinsLaura K BargerElise R Facer-ChildsGrant BaldwinShantha M W RajaratnamCharles A Czeisler

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Abstract

SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), is thought to be transmitted mainly by person-to-person contact (1). Implementation of nationwide public health orders to limit person-to-person interaction and of guidance on personal protective practices can slow transmission (2,3). Such strategies can include stay-at-home orders, business closures, prohibitions against mass gatherings, use of cloth face coverings, and maintenance of a physical distance between persons (2,3). To assess and understand public attitudes, behaviors, and beliefs related to this guidance and COVID-19, representative panel surveys were conducted among adults aged ≥18 years in New York City (NYC) and Los Angeles, and broadly across the United States during May 5-12, 2020. Most respondents in the three cohorts supported stay-at-home orders and nonessential business closures* (United States, 79.5%; New York City, 86.7%; and Los Angeles, 81.5%), reported always or often wearing cloth face coverings in public areas (United States, 74.1%, New York City, 89.6%; and Los Angeles 89.8%), and believed that their state's restrictions were the right balance or not restrictive enough (United States, 84.3%; New York City, 89.7%; and Los Angeles, 79.7%). Periodic assessments of public attitudes, behaviors, and beliefs can guide evidence-based public health decision-making and related prevention messaging about mitigation strategies needed as the COVID-19 pandemic evolves.

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Conflict of interest statement

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. Mark É. Czeisler reports grants from Australian-American Fulbright Commission administered through a 2020 Fulbright Future Scholarship funded by the Kinghorn Family Foundation and personal fees from Vanda Pharmaceuticals. Mark E. Howard reports grants from Institute for Breathing and Sleep, Austin Health. Rebecca Robbins reports grants from the National, Heart, Lung, and Blood Institute and personal fees from Rituals Cosmetics, Denihan Hospitality, and ASYSTEM. Laura Barger reports grants from the National Institute of Occupational Safety and Health and personal fees from University of Pittsburgh, CurAegis, Casis, Puget Sound Pilots, Boston Children's Hospital, and Charles A. Czeisler. Elise R. Facer-Childs reports grants from Science and Industry Endowment Fund Ross Metcalf STEM+ Business Fellowship administered by the Commonwealth Scientific and Industrial Research Organization, the Turner Institute for Brain and Mental Health, Monash University, and research support or consultancy fees from Team Focus Ltd, British Athletes, Australian National Rugby League, Henley Business School, Collingwood Football Club and St Kilda Football Club. Shantha M. W. Rajaratnam reports grants from Turner Institute for Brain and Mental Health, Monash University; grants and personal fees from Cooperative Research Centre for Alertness, Safety and Productivity and grants or fees to Monash University from Vanda Pharmaceuticals, Teva Pharmaceuticals, BHP Billiton, and Herbert Smith Freehills; and other from Qualtrics. Charles A. Czeisler reports an endowed professorship to Harvard from Cephalon, Inc., research support to Harvard Medical School from Philips Respironics Inc. and grants from the National Institute of Occupational Safety and Health; grants and personal fees from Teva Pharmaceuticals Industries Ltd, personal fees and other from Vanda Pharmaceuticals Inc, personal fees from Teva Pharma Australia; and has a patent on Actiwatch-2 and Actiwatch-Spectrum devices with royalties paid to Philips Respironics Inc. Charles A. Czeisler's interests were reviewed and managed by Brigham and Women's Hospital and Partners HealthCare in accordance with their conflict of interest policies. Charles A. Czeisler served as a voluntary board member for the Institute for Experimental Psychiatry Research Foundation, Inc. No other potential conflicts of interest were disclosed.

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    1. CDC. How COVID-19 spreads. Atlanta, GA: US Department of Health and Human Services, CDC; 2020. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid...
    1. CDC. Implementation of mitigation strategies for communities with local COVID-19 transmission. Atlanta, GA: US Department of Health and Human Services, CDC; 2020. https://www.cdc.gov/coronavirus/2019-ncov/community/community-mitigation...
    1. CDC. Social distancing. Atlanta, GA: US Department of Health and Human Services, CDC; 2020. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-di...
    1. CDC. COVID data tracker. Atlanta, GA: US Department of Health and Human Services, CDC; 2020. https://www.cdc.gov/covid-data-tracker
    1. Czeisler MÉ, Howard ME, Robbins R, et al. COVID-19: Public compliance with and public support for stay-at-home mitigation strategies [Preprint]. medRxiv 2020. https://www.medrxiv.org/content/10.1101/2020.04.22.20076141v1 - DOI

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